315612 8/30/2017 CITY OF CARMEL, INDIANA VENDOR: 368918 CHECK AMOUNT: $*****2,164.75*
ONE CIVIC SQUARE PENN CARE INC.
a CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 315612
�. NILES OH 44446 CHECK DATE: 08/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M9114 .01 35.40 SPECIAL DEPT SUPPLIES
102 4239011 M9316 1,652.25 SPECIAL DEPT SUPPLIES
102 4239011 M9365 213.10 SPECIAL DEPT SUPPLIES
102 4239011 M9562 264.00 SPECIAL DEPT SUPPLIES
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1317 North Road Invoice #M9562
Niles, OH 44446
Man Needs...One Solution (800)392-7233
Y sales@penncare.net
Bill To: Ship To: Order#: M9562
Carmel Fire Dept. Carmel Fire Dept. PO: tsmall
Attn: Tom Small Attn: Tom Small Internet Order M 109176
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel, IN 46032 Order Date: 8/17/2017
Invoice Date: 8/17/2017
Ship Via: UPS Ground
Code Name Price Qty Unit Ext Price
01-05961 BVM, Ambu SPUR II BVM Adult in Bag 11.00 24 each 264.00
Tracking # 1Z4760184392029281 Subtotal $264.00
Shipping $0.00
Total $264.00
Payments/Credits
Balance 00
Page 1 of Printed: 8/17/2017 at 3:44:07 PM
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�=n 17 North Road Invoice #M9365
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vaR,� Niles, OH 44446
(800)392-7233
Many Needs...OneSolutfon sales@penncare.net
Bill To: Ship To: Order#: M9365
Carmel Fire Dept. Carmel Fire Dept. PO: Ton Payne
2 Civic Square 2 Civic Square Internet Order M 109136
Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30
Order Date: 8/10/2017
Invoice Date: 8/10/2017
Ship Via: UPS Ground
Code Name Price Qty Unit Ext Price
02-05265 IV Tubing Baxter Interl-ink Catheter Extension Sets 2.95 16 each 47.20
Standard Bore
10-36688 Biohazard Bag, Emesis Sickness Cleanup, Clean 82.95 2 case/ 165.90
Sack, Case of 144
Tracking # lZ4760184397725911 Subtotal $213.10
Shipping $0.00
Total $213.10
Payments/Credits
Balance $213.10
Page 1 of Printed: 8/10/2017 at 3:25:41 PM
1317 North Road Invoice #M9114.01
. � Niles, OH 44446
Many Needs...One Solution sales 392-7233
ales@pen ncare.net
Bill To: Ship To: Order#: M9114
Carmel Fire Dept. Carmel Fire Dept. PO: TOMPAYNE
2 Civic Square 2 Civic Square Internet Order M 109081
Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30
Order Date: 8/1/2017
Invoice Date: 8/15/2017
Ship Via: UPS Ground
Code Name Price Qty Unit Ext Price
10-30000 Sharps, Dart (Shuttle)Container 2.95 12 each 35.40
07-34770 Alcohol Prep, Kendall Large 4.95 0 box/2 0.00
07-02762 Gauze, Conforming Rolls, Sterile 2"x 4.1 yds, 4.20 0 box/1 0.00
12/box
07-02764 Gauze, Conforming Rolls, Sterile 4"x 4.1 yds, 4.73 0 box/1 0.00
12/box
07-05423 Gauze, 3M Coban Self Adherent Wrap 3"x 5 Yards, 3.45 0 each 0.00
Tan
07-09109 Gauze, ABD Pads 5"x 9", 25/box 4.95 0 box/2 0.00
07-08800 Gauze,ABD Pads 8" X 10" 20/box 5.95 0 box/2 0.00
09-0449A Collar, Ambu Perfit ACE Adjustable Adult 9.00 0 each 0.00
09-0449P Collar, Ambu Perfit ACE Adjustable Pediatric 9.00 0 each 0.00
01-018128 Nasopharyngeal Airway Adult, 28FR 3.50 0 each 0.00
Tracking # 9405510200830658010023 Subtotal $35.40
Shipping $0.00
Total $35.40
Payments/Credits
Balance $35.40
Page 1 of Printed: 8/15/2017 at 1:38:11 PM
1317 North Road Invoice #M9316
�eL71 �x aRs Niles, OH 44446
Many Needs...One Solution sales penn33
@penncare.net
Bill To: Ship To: Order#: M9316
Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne
Attn: Tom Payne Attn: Tom Payne Internet Order M 109119
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel, IN 46032 Order Date: 8/9/2017
Invoice Date: 8/9/2017
Ship Via: UPS Ground
Code Name Price Qty Unit Ext Price
03-03111 Electrodes, OUIK-COMBO Connectors Edge 33.00 10 pair 330.00
System
07-0143B EMS Shears Black 2.50 12 each 30.00
07-039OR Shears, Paramedic Utility 7 1/4" Red 5.95 3 each 17.85
08-0960M Gloves, MicroFlex MidKnight Nitrile Medium 10.62 60 box/1 637.20
100/box -
08-0960L Gloves, MicroFlex MidKnight Nitrile Large 100/box 10.62 60 box/1 637.20
Tracking # 1Z4760184395943037 Subtotal $1,652.25
Shipping $0.00
Total $1,652.25
Payments/Credits
Balance $1,652.25
Page 1 of Printed: 8/9/2017 at 10:18:52 AM